HomeMy WebLinkAbout518 1/2 Lopez Ave - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~()2
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Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
8/02/05
05 00000349 Date
656878
518 1/2 LOPEZ AVE
06-30-10-5-0-1100-0000-
RES MANUFACTURED HOME
RS7 RESDNTL SINGLE FAMILY
30000
Owner
Contractor
TUCKER, DON
65 JUNIPER
SEQUIM
(360) 460-2820
NU TREND ENTERPRISES
.PO BOX 1780
SEQUIM, WA
SEQUIM
(360) 683-6080
LOT COVERAGE
LOT COVERAGE
25.60
525.00
7737.00
1456.00
1981.00
WA 98382
WA 98382
Other struct info
TOTAL %
EXISTING
LOT S!.ZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
.Sub Contractor
Permit Fee
Issue Date
Expiration Date
RESIDENTIAL
ELECTRICAL NEW
KEYTES/ MOBILE
56531
KEYTES ELECTRIC
78.70
8/02/05
1/29/06
Plan Check Fee
valuation-
.00
o
Qty
1. 00
Unit Charge Per
78.7000 ECH EL-MANF HOME SERVICE & FEEDER
Extension
78.70
Special Notes and Comments
Building address sign shall not be less than 6 ". & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
05/12/2005 04:41 PM SROBERDS ---------------------------
The proposal will result in the placement of a s.f. res in
the RS-7 zone for total lot coverage of 26%. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
> $410 Connect FEE
05/11/2005 04:47 PM JHEBNER ----------------------------
Elect SVC will be connected across the alley from the SW
Prop Corner.
05Jl1/2005 04:48 PM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
05/11/2005 04:49 PM JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
......"
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Other Fees
745.00
SEWER SYSTEM DELV CHARGE
COMMENTS! ACTION NEEDED
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ELECTRICAL PERMIT INSPEg.lON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.l' (4196)
'ti
....... ..",
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~()2
Application Number
Application pin numb~r' . . .
05-00000349
656878
Page
Date
2
8/02/05
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Credited
Fee summary
Charged Paid
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
78.70
.00
1774.50
1853.20
COMMENTS/ACTION NEEDED
Due
78.70 .00
.00 .00
1774.50 .00
1853.20 .00
.00
.00
.00
.00
.
,
ELECTRICAL PERMIT INSPEgION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
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WI lilITH_IN / (;UV~K
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GENERAL COMMENTS:
PW-II02..' (4196)
.!e;,:"f.J,/-:::. -.:"f :~?;_. .
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000349 Date
656878
518 1/2 LOPEZ AVE
06-30-10-5-0-1100-0000-
RES MANUFACTURED HOME
5/18/05
RS7 RESDNTL SINGLE FAMILY
30000
Owner
Contractor
TUCKER, DON
65 JUNIPER
SEQUIM
(360) 460-2820
WA 98382
NU TREND ENTERPRISES
PO BOX 1780
SEQUIM, WA
SEQUIM
(360) 683-6080
LOT COVERAGE
LOT COVERAGE
WA 98382
Other struct info
TOTAL %
EXISTING
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.60
525.00
7737.00
1456.00
1981. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
NASHUA VILLA NNID3290A-B, 2001
48967
230.00 Plan Check Fee
5/18/05 Valuation
n/14/05
.00
30000
~
\A..
BASE FEE
Extension
230.00
Qty
Unit Charge Per
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
05/12/2005 04:41 PM SROBERDS ---------------------------
The proposal will result in the placement of a s.f. res in
the RS-7 zone for total lot coverage of 26%. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
> $410 Connect FEE
05/11/2005 04:47 PM JHEBNER ----------------------------
Elect SVC will be connected across the alley from the SW
Prop Corner.
05/11/2005 04:48 PM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
05/11/2005 04:49 PM JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
~
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t (\
~
\t
~
'-
(t.
Other Fees
SEWER SYSTEM DELV CHARGE
745.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinanc% governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
~~~~~~~autRn~yt~~...~~:a"C'.' t::m~. is);ons of ::- state or local law regulating construction or the performance of
c/) ,7 ?l __..-..-.-/ :..5 - ~00
ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\POIicies\ 11 02_15 building permit inspection recard05. wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH. IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEA I' PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQl1IRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING I
T:IPoliciesl I 10215 building permit inspection record05.wpd [1/4/2005 ]
"
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000349
Application pin number 656878
Page
Date
2
5/18/05
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 230.00 230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2004.50 2004.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policics\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRiCAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
DATE
ACCEPTED
YES I NO
COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
{,/I S; /PtE>
3J...L
rd/l.to~~ bR-V I.{J ,>-,-<- J lA./
mono Skb Fou~t<..+tOY1
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
I
I
INSVLATlON
SLAB
WALL / FLOOR / CEILING
I
MECHANICAL
I lEA T PUMP / FVRNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
I -2- q -0 s- :J u.......
PLANNING DEPT. SEPARATE PERMIT #'s
SEPA:
PARKING/LIGHTING
ESA:
LANDSCAPING
SHORELINE:
FINAL INSPECTIONS REQVIRED PRIOR TO OCCVPANCYIVSE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT.
417-4735
ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/
ENGINEERING
4] 7-4807
CONSTRUCTION - R.W.
PW / EI"GINEERlNG
FIRE
417-4653
FIRE DEPT.
PLANNING DEPT.
417-4750
PLANNING DEPT.
,
417-4815 lIt? -
T:IPolicieslll02 15 building permit inspection rccord05.wpd [114120051
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
Owner
TUCKER, DON
65 JUNIPER
SEQUIM
(360) 460-2820
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
5/18/05
05-00000349 Date
656878
518 1/2 LOPEZ AVE
06-30-10-5-0-1100-0000-
RES MANUFACTURED HOME
RS7 RESDNTL SINGLE FAMILY
30000
Contractor
WA 98382
NU TREND ENTERPRISES
PO BOX 1780
SEQUIM, WA
SEQUIM
(360) 683-6080
LOT COVERAGE
LOT COVERAGE
25.60
525.00
7737.00
1456.00
1981.00
WA 98382
TOTAL %
EXISTING
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
PUBLIC WORKS RES WATER SERV
49197
715.00
5/18/05
11/14/05
Plan Check Fee
Valuation
.00
30000
Qty
1. 00
Unit Charge Per
715.0000 EA PW W/M 1" SERV 5/8" METER
Extension
715.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
49189
50.00
5/18/05
11/14/05
Plan Check Fee
Valuation
.00
30000
Qty
1. 00
Unit Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
49205
110.00
5/18/05
11/14/05
Plan Check Fee
Valuation
.00
30000
Qty
1. 00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to ,give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru)Jn. I .
'~ .S; f)C)~
T:\Policics\ \ 102.1SR [1/05]
Date
Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK. FLOW DEVICE I I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUIL[)[NG
T:IPoJiciesll 102.I5R [1/05]
~ "ORT A,~
f::.-J..O~~~
~Ra~
'W.- --
~-;;;--w;p
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000349
Application pin number 656878
Page
Date
2
5/18/05
----------------------------------------------------------------------------
Special Notes and Comments
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
05/12/2005 04:41 PM SROBERDS ---------------------------
The proposal will result in the placement of a s.f. res in
the RS-7 zone for total lot coverage of 26%. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
> $410 Connect FEE
05/11/2005 04:47 PM JHEBNER ----------------------------
Elect SVC will be connected across the alley from the SW
Prop Corner.
05/11/2005 04:48 PM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
05/11/2005 04:49 PM JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 875.00 875.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2649.50 2649.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\ll02.15R [1/05J
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANIT AR Y
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDl1'G 4 I 7-4815 BUILDING
T:\Policies\II02.15R [1/05]
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Address:
PROJECT ADDRESS:
-
City: ,~"1j i? _L~.A-.r<.. .-/
pGIhone:
State License #:rVI)TI1Pi1 ~1{xp:' J- )._.:P-~ Phone:~ -&0'10
City: 5.e~~ Zip 9 Y'~?f -~
c/C7.. "4/ j - /) '7
-..; _ (L.?' Ulfe ~ ZONING: //)<- ..
Phone: LI/c:f) - :2- r; 2 D
Phone: sctJJ. - 933()
Zip: c;J?? j .~
o t-
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAMCOUNTYPARCELNUMBER: 00"30 /d~O / J~ ~-C)
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZENALUATION:
t8"Residential I2"New Constr. 0 Re-roof 0 Stove i'-/ '> I- SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Oth~r . _ T~ VtLUATION /_\2.<0, ()-(:} 0
BRIEF DESCRIPTION OF THE PROJEC~' jYl ;1u{.If<"-tc..t~ rv~ iJI/V', .<'4=
.?8x z~/~;;L., , lVo.sh""o. . Vd/~).sw #}/[J)s29CJAe __,
/ /
COMMERCIAL/RESID~TIA.,L: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: -1- Lot ~u~: -!l.-?~3 '1- Bxisting Sq. Ft. < ')~4 & Proposed Sq. Ft./t.{Oto = TOTAL Sq. Ft. i 9)1 1..
Total lot coverage_..%-'" ~ _
PLANNINGYSE ~NLY: f/!;.f~;;~zt ~ )I)t ti'{.,;:!;.;, .
-;.':j~~~ _ . . .;.) . n't'-
ESAlWetland(s): 0 Yes)(No SEPA Checklist required? 0 Yes)(No Other:
APPROV
PLAN:5
BLDG:
DPWU:
FIRE:
OTHER:_
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the sa
understand that it is my responsibility to determine what permits are Ii quired ,no
true and correct. I am authorized to apply for this permit and
and that I must obtain such permits prior to work.
~. Date:0.s:-0S---
,
T:\RVESS\BLDG-forms-brochures\2004-Buildingpermit.wpd Applic
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Vertical Datum = NA VD 88
Hor;wntal Datum = NAD 83/91
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Area Map
This map is not intended to be used as a legal description.
This map/drawing is produced by the City ~f Port Angelesfor its own use and purposes,
Any other use of this map/drawing shall not be the responsibility of"the CiZl'.
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15
SURVeYOR'S CERTIFICATE
THIS MAP CORRECTLY REPRESENTS A
SURVEY MADE BY ME OR UNDER MY
DIReCTION IN CON~ORMANCE WITH
THE SURVEY RECORDING ACT AT THE
REQUEST QCHELEN f3USH,-~
DA TE: JUL Y 10, 1985.
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DRAWN B'l': $,MM
PlA T CHECK:
F"lNAl CHECK:
JACK A. GLA UBERT
LICENSE NO 14475
BUSH SURVEY
S&ael.
LEGENQ_
. DGNOTE :SIB" R.EB.AR.. wln-,
pi-ASTle SURVEY CAP
STAMPEO ~GL.AU6eRT - P.L.5.
14475 AND 3" x,3" WH(TE
GUA~D POST.
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~P. D,NOT€S ALLEY WHICH M....Y
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BUT HAS NOT BEEN
v,ACArED By t:>PF'ICIA L-
..JUO(CIAL ACTION.
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SCALE (N FlEer
SURVEY OF LOT 5 ,BLOCK I I
AND VACATED LOPEZ
STREET ADJOI N I NG IN 5ECTION
/0 , TOWN SJ-/ / P 30 NORT J-/ .
RANGE (0 WEST, W. M. ,
CLALLAM COUNTY I
WASHI NGTON.
RECORDING CERTIFICATE
"cILED FOR RECORD AT THE REQUEST OF
NORTHWESTERN TERRITORIES /NC. THIS
~DAY OF I?&: .~/985 AD AT~M/NUTES
PAST 3 O'CL I(~.M. AND RECORDED
IN VOLU/I1E-L-OF S/;IRVEYS, PACE /
RECORDS OF CL ALL AM COUNTY,
WASHINGTON.
G.~~I"~ J~ J_
DEPUTY COUNTY AUDITOR
~~S~~~E~<?~~~ES
Connruction CoonIiMtion . M.teriMs Tasting
10(40 -(,) ::::.co:::oa::'" ~'-:: ::~~":.::;::',::",~~,,:,':;"":;"', :~:~~
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THIS SURVEY IS BAseo OV THE
WASHINGtON CooRO/NAn; SYSTEM
G.eIO NOIZrH ZONE. ALL BeARINGS
ARc' ~eLATIVc TV $4/0 G.eIO
ALL O/~TANCes ARE REOuceD
TO 5410 GRID
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LEGEND
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~NTI-NESARy' 223"'f4" AND
,3. X 3. WHITE GU-'1~O POST.
.OtNOTE5 FOOND 5/8~ Re8AJe WIT.J..I
PLASTIC CAP S7A;'V1P€.o ~ GLAU8Eltr
PL5 /4-475': 5ET 3",(3" GUARO PO:>T.
~~OCNOTE'S HeDGE.
____ DENOTES E.X/STING- FeNcE,
6J c;>ENOTE5 EXISTING CO/IJC~ErE.
o r::;,,:o::vs S=~TSV:C~~E~L~~ ~::t;~~E
BUT NOT BY OFFICIAL JUDICIAL ACTION.
() 5.0 100
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SCALe 1/11 FBET
AVENUE.~'//
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FOR OL.YMPIC VISTA INC.
DATE SEPTEMBER 30,1987
'ii
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----EAST LINE OF GaV~~N^,,~T LOT -3 OF seCTION /0 PER
SU~VI!iY ItECO~C>li=.O 'N VOL.U/VIe 1/ 01"' $U,II!V.EY.!9, P"",G-E I.
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SUR.VEY OF LOTS {,;; -10 INCLUSIVE, BLOCK
I I, AND LOTS II -/(fl, INCLUSIVE/ BLOCK 16 ,
OF PUGET SOUND COOPERATIVE COLONYS
2@ ADDITION TO PORT ANGELES I CLALLAIVl
COUNTY, WASHINGTON IN GOVERNMENT
LOT .3, SECTION 10, TOWN5HIP 30 NORTI-I,
R.ANGE w WEST," WM, OF SAID COUNTY
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~VHIOBY AVENUE
SUI2VEYOeS CEICT/F/CATE
---~----~-~_.__.._~----------~---
THIS MAP CORI2ECTL Y REPRESENTS A
SURVEY MADE BY ME CR UNDE"/2 MY
DII2E"CTION IN CONFORMANCE WITH
THE SURVEY RECORDING ACT AT THE
RE9UEST OF J:J./.r.MPIC V&.rA-'NCJ
DATE SEPTEMBER. 3D,1987
~a..U cl f1€4~
R.ONALD L NcSA)2y UCENSENO 22344
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I2ECOK?OING CER:TIFICATE
FILED FOR RECORD AT THE RE9UEST OF
NORTHW~RN TERRITORIES) INC. TI-IIS
.H!!:OAY''i:E(J.~. 1987 A.D. AT~M/NUTE5
PASL....!L..OCLc.cK~.M AND RECORDED
IN VOLUME.J~QC SURVEYS, PAGE....5....L.........
RECORDS OF CLALLAM COUNTY, J
WASHINGTON.
c.3A_L._, _ ~ . J-L.-
CEPUTY COUNTY AUDITOR..
~ NORTHW~~~~.~IES. IN&.
/O(30-~ NTf "'SOO;~=::=~=~--:'~_
DESIGNED BY,
DRAWN BY, 5HELLI€ M. .'I4ELTON'
PLAT CHECK BY, :J)..Ie. LIE M M&L.TON"
FINAL CHECK BY,
OLYMPIC VISTA INC.
B4/22/2BB5 B8:43
35B4178558
FAMILY MED
PAGE B2/B4
Filed for R<<ord at Request of
CHUCK E. ~VNDE. ATTORNEY AT LAw
P.O. Box 3303
SEQUlM. WA5HINGTON 98382
(360) 683-8205. FAX 683-8227
GRANT OF UsEMENT AND AGREEMENT
Reference Nos. of Documents Rele~ed or Assigned: NtA.
Grantor(s): (Last, First, Middle Initial)
1. Le Ber, Charles F.
1. Le Ber, Janice Downey
Gratltee(s): (Last, First, Middle Initial)
1. Heckman, WiJliam R.
Legal Description: (Abbreviated: i.e. lot, block, plat or section, township, range, quarter/quarter)
Burdened Property: S 1/2 Vacated Lopez Street adjoining Lot 5, Block 11, Puget
Sound Cooperative-Colony's 2nd Addn. to Port Angeles, 1/12
Benefitted Property: Ptn GL 2, Sec. 10, T30N, R6W and ptn of Lot 16, Block 16 Puget
Sound Cooperative Colony's Second Addition to Port Angeles,
1/12 '
Additionallegal(s) on page 1 and 2.
Assessor's Tax Parcel ill # Burdened Property: 063010-501100
Benefitted Property: 063010-430390 and 063010-501110.
1.1 Grantors.
Charles F. Le Ber and Janice Downey Le Ber, husband and wife.
1.2 Grantees.
William R. Heckman, a married man, as his separate estate, his
heirs, successors, and/or assigns.
EASEMENT
2.1 Term of Easement. Grantors hereby grant to Grantee, his heirs, successors, and/or
assigns, a perpetual easement as described herein for the purposes described herein. Provided,
however, that if the existing structures are ever removed or cease to exist on the easement
described in paragraph 2.6 herein, then this easement shall tenninate.
2.2 Purpose. The purpose of this easement is for accommodation of the existing
structures located over and across the easement described herein and for access for the purpose of
maintaining the structmes.
2.3 Consideration. One Thousand Two Hundred and no/l00ths Dollars ($1,200.00).
2.4 Termination of Previous Basemem. The previous easement created by instrument
recorded March 15, 1994 in Volume 1046, Page 388 under Auditor's File No. 702724, records of
Clallam County, Washington, is hereby terminated and replaced in its entirety by this document.
2.5 Benefitted Property. This easement is to benefit the following described real
property situated in the County ofClallam, State of Washington:
That portion of Government Lot 2 in Section 10, Township 30 North, Range 6 West,
W.M., C[allam County, Wll$hington, described as follows:
Beginning at the Northwest corner ofsaid Lot 2; thence SoutbCll$t along the Soutb
Page I of Easemenl Agreement
04/22/20B5 08:43
3504178558
FAMILY I~ED
PAGE B3/04
line of the city limits of the City of Port Angeles a distance of90 feet; thence South
222 feet to the True Point of Beginning oftbis description; thence continuing South
a distance of 222.03 feet; thence Northwesterly on a line parallel with the South line
of the city limits of the City of Port Angeles a distance of 90 feet to the West line of
said Government Lot 2; thence North along said W~st line 222.03 feet; thence
Southeasterly on a [ine parallel with the South line ofthe city limits of Port Ange[cs
a distance of 90 feet to the True Point of Beginning;
AND ALSO that portion of Lot 16 in Block 16 of Puget Sound Cooperative Colony's
Second Addition to Port Angeles, as recorded in Volume 1 of Plats, page 12, records
of Clallam County, Washington, together with that portion of the North half of
vacated Lopez Street abutting said Lot on the South, lying East of a line running
Suuth 30 55' 01" West from a point on the North line of said Lot 16, North 88003'
24" West 38.02 feet from its Northeast eOnl-er.
26 Location of Easement on Burdened Proverty. The location of the easement is
described as follows:
Soutb balf of vacated Lopez Street adjoining Lot 5, Block 11, Puget Sound
Cooperative Colony's 2"" Addition to Port Angeles, Clallam County, Washington,
according to p[at thereof recorded in Volume 1 of Plats, page 12, records of said
County.
2.7 Miscellaneous. This easement shall run with the land and be binding upon the
heirs, assIgns, and any SUccessors in interest and shall inure to the benefit of the heirs, assigns, .
and any successors in interests of both Grantors and Grantee.
DATED this ~ (\0 day of -A"'-l......
, 2000.
'ffFf~r M-
I RLES F. LE BER, Grantor
X g~~i'~~ 4?7k~~
WILLIAM R HECKMAN, Grantee
^),.,//A~. 2kJ~ c:; e~
~E DOWNEY LE BE . Grantor
STATEOF ~~
COUNTY OF ~
S5.
On this day personally appeared before me Charles F. Le Ber and Janice Downey Le Ber,
to me knovm to be the individuals described in and who executed the within and foregoing
Instrument, and acknowledged that they signed the same as their free and voluntary act and deed
for the uses and purposes therein mentioned. '
Given under my hand and official seal this l-o"~ day of <APf:.IL--
,2000.
~A4.......""""~
"'Il OffICIAL SEAL .
: SUSAN J. FISHER ~.
.. Notarv Public. Stlt. of W8IhinlWOh t
~ Comllllsaion ElpiOl' 12- Hi-2oo0..
~.yyy...y.........,
Y P L in and fOvQIe State .-
of tl-I"'~ . residing at +;6- <A>Jba.O
My Commission Expires: 12.(.$. c:OO'<>
Printed Name of Notary: SII."n J Fisher
Page 2 of Easement Agreement
~YILLILUU~ U~:4j
;)bB4178b58
FAMILY MED
PAGE fJa/fJ4
STATE OF ARlZONA )
) 55.
COUNTY OF Ytnt'I A )
On this day personally appeared before me William R Heckman to me known to be the
individual described in and who executed the within and foregoing instrument, and
acknowledged that he signed the same as his free and voluntary act and deed, for the uses and
purposes therein mentioned.
Given under my hand and official seal this {, .. day of A 'R..i L..
,2000.
.
X~~~1~~ .
NOTARY PUBLIC in and for the State
. of Arizona, residing at -~-"'mA...__
My Commission Expires: 'rJ1aA.. i I-;A. ()d I
Printed Name of Nota!)'; t'lilJ.il.u r. #A t!I-'1
Page 3 of Easement Agreement
02/03/1994 21:00
8663159433
PARK SALES LLC
PAGE 01
Park Manager LLC
P.O. Boll e
5equlm. WA 88382
380-612-8330
Fax: 1.8S&.315-lM33
EmBiI: lI8ndrllll!llllllrl<U1IHLLC.com
FAX
TO: STEVE, PERMIT SECTION, CITY OF PORT ANGELES
FROM: SANDRA RAMSEY, OFFICE MANAGER
DATE: JUNE 9, 2005
RE: COMPACTION TEST REPORT
Can we proceed with pouring the foundation? Thank you.
5, g ! '2..
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02/03/1994 21:00 8553159433
PARK SALES LLC
., t.. ",~.::J ..::ar<.uur
PAGE 02
rMUI.". UL
UQIU~"UU~ uo.UQ ~OU~JLO~~O
NORTHWESTERN TERRITORIES, INC.
117 80UTH PIABODY I"'I.T, PO", ANOBLES, WA HaQ
~ftfJlnoors I..nd SUMlJo'BI' GofJIoe/.,.
ConlftUCflon I~" MatfJrI.1.s Tostln"
JOB CONSTRUCTION REPORT
REPORT #:
DATE: S/~7/oS
IJIO) 411oM" '..OO....ISoI:J FAX ........ I~.'I: IntoOlIlMu.eoftI
PROJECT: 5 L ~ '41 L..c,pe "Z.
CLIENT: D OA lV ~Q....
CONTRACTOR:
supeRINTENDENT;
INspeCTOR ORDI5RIUJ BY: e-l \ ~rY1-
INSPICTOR: ~ ~ \1 P~1:-(j.r\
WEATHER
INSPECTOR ARRIVED: DePARTED:
JOB': tU c:...l< 0 5 a {
-' D\"-""'vM 0('"\ ~'+Q. ""'0 .par+0("~ C-()~~\ /.)1'\ i-e.~+-~,",~ 01'\
~,,+ ".-",,,", f~ U ,f/Jr t'-... "'~ v$Q.. Peood ~+ 5 I S'~ Lop-ez.- \ ^
p(;)r-+ Ar\O)e.les. -r~o +~5 vv6.....q,. +o..~Q..f\ , ~'"'~ o...-t- ~l.
('\ ~("'.MA~~~ ~or"'C2.r 6.f' ~ ~ oort l ~h o\~~ r r>\rd l)AQ.., ort-
~'-... t;V~~ e.\~4.. o~ ~~ p:-d, Y'\~r-t'" c-f ('V\\~a\9.;. ~+ 10"
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J:bL 1'''''0 <:-+0.. v-h.., I!., +k\..., s pOo.ss ~~~ ~o_ q 5 <:1/<:1 ~O"""' 1P~1-\ '0./\
~ pee., cf"\d l)f rc..Cor+.
REINSPECTION REQUrRED 0 yes
[J NO
G:\Ge"\K.te\Lab\Job ~1'I.tr\I~lo" Report.doc
02/03/1994 21:00 8553159433
~o/~~/L~~~ ~~;~~ ~o~4~Ltiq~~
PARK SALES LLC
N 1.1. ..JL::> \:It(uur
PAGE 03
rHUL I(J...J
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NORTHWESTERN TERRITORIES, INC.
"""'.IMtd~. ~
~ Intped/atl. Met.".,. T....,
FIELD DENSITY TeST
NUCLEAR GAUGE METHOD
DATE: 5/Pl7/ as
CLIENT: ~o" _Tv&-t<.er
ADCRESS:
PROJECT: 5 l a ~ Lc pe.-"Z...
CONTRACTOR:
MATERIAL: ~ ~ ,...\lA
TESlED BY: _, p
IDEAL MOISTURE: 3. B
STANDARD COUNTS: MS e G-1-9
os= O("~
TeST DEPTH DRY weT MOISTURE PERCENT PROCTOR PERCENT
NO. DENSITY DENSITY COUNT MOISTURE COMPACTION
I I~ \ '3 3. -+ l 301, ( 5,8 ~. 3 t37.3 ~7
LOCATION: ",or+~~+ t:..or~r a-f ~
~ Ie I '3 5,C) 1 -+1. 5 G,.S ~~~ I '3f. '3 q~
LOCATION: """,e.5+ s\dQ. ~~ ,Dc.d . "'or-~'" D ~ vn, k1 \Q.
LOCATION: .
LOCATION:
. LOCATION:
LOCATION:
LOCATION:
LOCATION:
LOCATION:
LOCA TrON:
O~~OIIlIIIp ,.....
717 SOUTH PEADOOY, PORT ANGel!S. WI. 98382 (380) ~Z-i4'1 1-8OQ.(j54-654S FAX 452.&498 E-fl\ill: infoftnU4u.com
02/03/1994 21:00
8553159433
PARK SALES LLC
PAGE 04
NORTHWESTERN TERRITORIES. INC.
Englneel"l .. Lind Surveyors - Geologists
ConltnJctlon Inspection - Materials Testing
711 S. Peabody Slreet, Port Angel_. WA 88312.310.482."01
Proctor Test Fonn
ASTM D698
Client: Don Tucker Sample #: 312
Project: 518 % Lopez NTI Job .: TUCKOS01
Contrlctor: Mlterl.l: Pit Run Haller Pit
~te: 819106 Tesled By; CLC
Proctor Test Method:Standard "C"
Size of mold u..d (.." or I"): 6"
Item Item Desianatlon 1 2 3 4 5
A Welaht of como acted 801' & mold (Ibs.) 24.501 24.9; 24.efl 2S,11
B Wllat'lt of molel llbe,) 14.4E 14.4~ 14.48 14.4E
C Wetaht of comCllctecl 8011 A " B (lbe.> 10.0E 10.4S 10.3B 10.63
Wet density (#Irt') C X 30 (4" mold) Or 134.1 139.' 138.4 141.7
0 t; 10.075 18" mold)
! Weicht of container end wet soli (creme) 6867.S 7037.2 6960.3 7106.1
F WeiCht of container and dry soil (crams) 6783.C 6747.5 8803.8 6B37.e
0 Weia"'t OfwBter c.. F (e1f.mll 84.s; 289.7 176.5 268.3
H WeiQht of container (crams) 2304.~ 2312.~ 2276.2 2318.0
I Weicht of dry material F - H (Qram.l 4478,~ 4435.J 4527.E 4519.8
J Wetor content G II (%) Ul 6.S 3.5 5.9
K Dry denllltv 0 11 ... J fIUft3) 131.e 131.~ 133.2 133.B
,..>> I rltl Tt-; Fi=L
::;f-~--:~-~~: I p.tt-
i;:::-~I~ -. ~, :_~ ~~"JI
f 130.0 -q l=-if- . u__.: ~ :~l- ~ I
~ '28.0 + -j:i=t ...~. +-~tl-I-~J.=.
::;.t I.:B I=r=) JiltJI
1.0 2.0 3.0 4.0 5.0 6.0 7.0
Mollture Content (%)
MUlmum Den.fly (#Ift3) =
ODtlmum Mol."'nt (%, =
With 30% rock
134.6
5.0%
137.3
3.ae;.
Single-section
Multisection
DO: Crown and grade the site to slope away from the home and cover it with
6-mi/-thick polyethylene sheeting or the equivalent.
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DON'T: Grade the site so that water collects beneath the home.
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Figure 3-2 - Elimination of water beneath the home
CITY OF PORT ANGELES - Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building oper:tions being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
(SECTION 303{C)~~Orm(:~ Code.)
Approval Date t;; '2- BY' I~
..W~ ~j
Table 4-2 - Minimum Pier Capacity
Multisection Center-Beam Blocking
Roof
Live
Section Load Pier Load and Minimum Pier Capacity (pounds)
Width (pounds
(feet) per
square
foot)
Mating Wall Opening (feet)
5 10 15 20 25 30 35
B 20 600 1200 1800 2400 3000 3600 4200
30 800 1600 2400 3200 4000 4800 5600
40 1000 2000 3000 4000 5000 5000 7000
10 20 800 1500 2300 3000 3800 4500 5300
30 1000 2000 3000 4000 5000 6000 7000
40 1300 2500 3800 5000 6300 7500 8800
12 20 900 1800 2600 3500 4400 5300 6100
30 1200 2300 3500 4700 5800 7000 8200
40 1500 2900 4400 5800 7300 8800 10200
14 20 1000 2000 3000 4100 5100 6100 7100
30 1400 2700 4100 5400 6800 8100 9500
40 1700 3400 5100 6800 8400 10100 11800
16 20 1200 2300 3500 4700 5800 7000 8100
30 1600 3100 4700 6200 7800 9300 10900
40 1900 3800 5800 7500 9700 11600 13600
f,
LAMPLE: 14-foot section width
r 3O-pounds-per-square-foot roof live load
[ l8-foot-wide mating-wall opening
~...'....'.Pl. low down the .Section Width" column to "14 feet." Follow across to "30 pounds per square foot"
... in the "Roof Live Load" column. Since the mating wall opening is 18 feet wide, follow across to
e column headed "20_" (For any opening width that is not shown, use the next highest number on
. chart.) The required pier capacity is 5,400 pounds.
~
~
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. Strap Method
Anchor Min.
Ultimate Load
Capacity
Single Strap
Double Strap
47251bs.
47251bs.1
11' - 0"
6' - O.
6' _ 002
4' - 6"
4' _ 602
2
11' - 0"
?---..;;-':;, .
Note --
1 Un[ess listedllabeled for a higher capacity by the anchor manufacturer
2 Unless a greater spacing is specified by the anchor manufacturer
3 All homes located in Wind Zones II and III shall have a vertical tie
2-foot
maximum
see chart
2-foot
maximum
l
l
1
L
---~
1-----___
___J
Frame I-beam
-------
Anchor
-------
I }
Ci_...._ c '"
I.\I___L__ _._ _I'
4.1.5.3 Perimeter blocking
Place piers on both sides of side wall exterior
doors and any other side wall openings greater
than 4 feet (such as entry and sliding glass
doors); under porch posts, fireplaces, and wood
stoves; and under the locations where heavy
pieces of furniture, such as pianos, organs,
waterbeds, etc., are expected to be placed.
4.2 Footings
Footings shall be placed a minimum of 4 inches
below grade in undisturbed soil. Support every
pier with a properly designed footing (see
4.2.1.1 ).
4.2.1 Acceptable types of footings
4.2.1.1 Concrete
Footings may consist of precast or
poured-in-place concrete, pads, slabs, or
ribbons at least 3 1/2-inches thick, with a 28-day
compressive strength of at least 3,000 pounds
per square inch.
4.2.1.2 Pressure-treated permanent wood
Two layers of nominal 2-inch thick
pressure-treated wood having 0.60 retention in
accordance with AWPA C22 Standard, with the
long dimensions of the second layer placed
perpendicular to that of the first, may also be
used.
4.2.1.3 Other materials
Other materials approved for footings may be
used when approved by local authorities if they
provide equal load-bearing capacity and
resistance to decay. Examples include:
- 1/2 inch maximum crushed stone;
- 3/8 inch or 3/4 inch graduated gravel;
- coarse sand, with grains no smaller than
1/16 inch, placed so it provides a soil-bearing
capacity of at least 3,000 pounds per square
foot.
8
----
on .V'<ii<j. _ ~
4.2.2.1 Conventional footings
In areas subject to ground frost heave, place
footings below the frost line. Consult local
authorities to determine the depth of the frost
line. In the absence of a local code, use the
frost penetration map provided in figure 4-4 as
a guide.
4.2.2.2 Floating slab systems
When properly designed by a registered
professional engineer, a .floating slab system"
may be used above the frost line. The design
shall accommodate the anchorage
requirements identified in 5.
4.2.2.3 Insulated foundations
Footings may also be placed above the frost
line when the home is provided with a perimeter
foundation or skirting having insulation
properties sufficient to prevent freezing of the
soil under or adjacent to every load-bearing
component of the foundation and acceptable
for this purpose to the authority having
jurisdiction. Useful design guidelines may be
found in the references found in Annex F.
Insulation systems should be compatible with
the requirement to cross-ventilate the entire
space under the home.
4.2.3 Proper sizing of footings
Proper sizing of footings depends upon the
load-carrying capacity of both the piers and the
soil. See table 4-3 for recommended footing
sizes.
4.3 Permanent foundations
Check local building codes and regulations and
consult a registered engineer when the home is
to be sited on a permanent foundation (such as
a full basement, crawl space, or load-bearing
perimeter foundation). To obtain a permanent
foundation design that meets most local codes,
write to the manufacturer of the home. Useful
ideas and design guidelines can also be found
in reference publications, such as those listed in
Annex F.
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-4,
'S
':~
· - n - ~~; Fra~ :p~O: - - -- - r~i~~~- - - Froot~) :-c:
/ L I ,
_ _ _ _ .' _ __ _ .. _ _ _ _ II- _ .I _ _. _ _ _ _ -. - - - - ___ - - - .1..'-11-
" Exterior door of home
"
_u_
,;'
"-
',,- Exterior wall-
line of home
--
Required perimeter ~-_. -----------
support (see note 4) ----.--
Figure 4-2 -- Typical blocking diagram for single-section home when manufacturer's
instructions are not available
Note (applies to both figures 4--2 and 4-3) _.
1. See table 4.1 for required pier capacity and spacing.
2. See table 4.3 and section 4.2 fer footing requirements.
3, Piers shall be located at a maximum of 2 feet from both ends.
4, Place piers on both sides of entry doors and at any other openings
greater than 4 feet in width. such as patio or atrium doors; under
porch posts. fireplaces. and wood stoves; and under those places
where heavy pieces of furniture such as pianos, organs, waterbeds,
etc., may be placed.
"
i Pierslsupports shall be sized
. according to table 42 or calcu-
lated by a design professional and
located under the bearing points of
clear-span openings in center
mating walls
Required perimeter
support (see note 4)
" Patio door
t - - I" - .,.. - -.- - ,- - -j - - -r-- - I - -1IfI- - or -11- - - .- - -t- - --~ :..,.
I I I I I I I I I ~ I I I I I.....
I I I I I I I I I \ I I I I I ""....
1.. I . I : I . I I I ..L I I I......r:.
~ __L _.... _ -1_ _._ _ .1__*_ _J.____--L-----L-.a---~-.
..-----"----....
.~ ----.
It- - -,- - .. - -i - - .- - ., - -. - - T - -. - - T - . - -,- - ..... - ., - .
.....
I I I I I I I ! I I I I I Ii-.....
I I I I I I I I I I I I I
I I I I 1 I I I I I I I I I J..-
. _ _ L _ .. _ _1_ -11:-' _ ~ - _ .- _ .1 -- -. - _.1_'" - - L -.. - _1.:'----- ill
Slide-ollt fireptace Exterior door of home
~ ---'::::--:::-:1-1.__ " ------ Exterior wall-
Required perimeter -.1---- line of home
support (see note 4)
i~
...
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Figure 4-3 -- Typical blocking diagram for multisection home when manufacturer's installation
instructions are not available
'. r
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, . .., ".......~..-ff1i ,.
Roof Minimum Pier Capacity (pounds)
Section Live Pier
Width Load Location
(feet) (pounds
per
square
foot)
Maximum Pier Spacing (feet)
4. 6 8 10
8 20 Frame 900 1300 1800 2200
Perimeter 600 800 1100 1400
30 Frame 900 1300 1800 2200
Perimeter 700 1100 1400 1800
40 Frame 900 1300 1800 2200
Perimeter 900 1300 1800 2200
10 20 Frame 1100 1700 2200 2800
Perimeter 700 1100 1400 1800
30 Frame 1100 1700 2200 2800
Perimeter 900 1400 1800 2300
40 Frame 1100 1700 2200 2800
Perimeter 1100 1700 2200 2800
12 20 Frame 1300 1900 2600 3200
Perimeter 800 1200 1600 2000
30 Frame 1300 1900 2600 3200
Perimeter 1100 1600 2100 2600
40 Frame 1300 1900 2600 3200
Perimeter 1300 1900 2600 3200
14 20 Frame 1500 2200 3000 3700
Perimeter 900 1400 1900 2400
30 Frame 1500 2200 3000 3700
Perimeter 1200 1800 2400 3000
40 Frame 1500 2200 3000 3700
Perimeter 1500 2200 3000 3700
16 20 Frame 1700 2600 3400 4300
Perimeter 1100 1600 2200 2700
30 Frame 1700 2600 3400 4300
Perimeter 1400 2100 2800 3500
40 Frame 1700 2600 3400 4300
Perimeter 1700 2600 3400 4300
18 20 Frame 1900 2900 3900 4800
Perimeter 1200 1800 2500 3100
30 Frame 1900 2900 3900 4800
Perimeter 1600 2400 3200 3900
40 Frame 1900 2900 3900 4800
Perimeter 1900 2900 3900 4800
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Aut 18 04 10:00a
Hount Vernon StarT
360-419-9063
p.t:'
OO/l;b/.:;004 12:54
T!TBRAtLE't'ENTERPRlSES INC ~ 13604199063
---.....----
t-O. 782 GI02 t
SAC INDU$TRIES
TIE DOWNS
BRGINEJCRED TIB JJ()WN 8Y81'S.M
G'ltpRAL ~OTA.
QEstGN l.OAns..:
*wst'll) ______------- ~7.4pSt (7Q .,PH DPOSUP,("C")
* WIND ________------ 2S.6PSF (3$ .,PH EXIJOSURt oC.)
. Wltfl) _____---------3S,l)~ (100 WPH EXPOSURE "CO)
... SElSM1C ZONE ---------'- 4
... SOIL BBAIUJlfG _____----- \000 p.t .t!Q.li.: illA)(IUUW SOIl.. PR~'5\Htt
IS tOOO psf WlTH:>U'" A SO'\. R~PORT.
,., &ARTS AUGERS --------- 47501 MIN. TOTAL l.O~O CAflAClT'i
3' so, WORKINC LOAD CAP'-.CITY
* STAOIL-X DRIVE ANCHO~S-- .750' MIN. TOrAl L.~"O DPACI'!'f
3':SO' WOfIKlHG LOAO CAPSlCITl'
* CONCl\ETE 81.\B ANCJlORS-- A75C~ MIN. roT~1. :"'01.0 C,t'ACI'N
3t5D# WORKINC t.OAC C"~^CI1l'
'II 'fJ:E DOWK STRAPS - -.----- 47501 MaN. TOTAL I.OAD C.Ai'A:;ITY
!lSO# WORl<lt:/C \..PAD (:Af'A(:::TY
i,E DOWN STRAPS NEE1'$ rtO[~ SPf.C1F1CATfON O(:-S -.1811-1 ro~ ''''PE 1. ('''1..,,:':;'S. ", II
C:;AADE: 1 STRAPPS"IC "','10 BE AT L.~ASl , l/4 II .O~5 llt<C PtATEO. j ID
I. THE CHARTS SHOW THE: RlQVIREC M\Jl.48t:R or n: DGWNS ON !'HE ~!U[S .tl'iD II
ENOS Of THE """...ur.cnJRtiJ HOhlt. ,
1. COMBINATIONS OF THE DtF'F'ERENT TYPE:S or TIE tOWNS CAS BE usro Ii
3. .r;,)R AI.l. TIt' OOWN INSTAI.l.ATlOIolS. THtMAIJVFACTiJllEO HOMt CMASS1S ~t:t,(9[RS I
ARE SHOW/'l AS'r tEAMS. {raR /U..IJSYR-'TIOl'l r:u~pose: ONLY'! CHAS~'S BUMS I
CAlli "USO BE -C' SW.PED OR -wrc. SHAPtD. . .
~. Slot TIE DOWNS ARt: Rl;OUIREt> At.CNG 1"'E oUTSlor CtoiA'SSlS a~MS. [NO "IF. I,
OOWNS AM !il(OUIAtO Io.T (ACB Dot; ~ U.CH iI'lA~SFORro\ilU: SECTION or 'Pit ,I
UANurACTuAtO ~OME. I
S. ENO TIt !)OWNS ~A~ BE LOCAl!O .NtT~IN 11; Of E1T~ES1 ~ or C~ASSIS f1tAlo;l I. urT
AXIS, AND DOlT-Ole TOt' tAd fit ",rrACtiW WIT}flf W TO 6[1' fl?C.1.I i:}8i c.r CHASSIS iltAll
6. THE SittS: TYPES. UNGTHS. tCT. OF MATtRlALS St\OW1'4 HtRtON Aft( IdNIMUIi!. 1
LARGER. LONG Ell. HEAVIER t.e"'TERtALS SUPPUEO BY SAC H~OlJS1RltS. INC. MAY ;
at USED AT THE: SAt<< SPACtKG A.~Ci lO~TI~S SHOWN. .
7. AU. P,AftTS ~RE COATED WITH RUST RESISTANT INiJUSTR!AI.. SHOP f'RII4F.I~. ,Iii
8. THlS Tli: ClOWN S'rSTEM Mt:tTS THE: REQl/IREME"lTS or SE::!!ON 1336.3 SV6-
Si:CTION (e1). I
.~
\..
STATE APPROVAL
tN~INEE ~f-P I ,teU;I'~~ sYSlEM
.APPROH :>
. SUa;E.CT iO CCRll(~ III0.<.!)
~lIaI does 11cl: ~riN or epprlJ'Yt ~ t.IIl'.i!skm fj(
~ from lequK~ d ~ Sbfa iaW$ enli
re~.
Statl! of Carlfomia
0eDartmcr.t of Housing :~.01 Cemmunlty o.vefow.ent
~ AND STANDARDS
, . ~
. . nata /~-?~(..t,::2....-
'ft."'.; ,--.,
...'" .. er..s.- /~ . j
;;.._....~_.. '~ -J/- ~.y
,lClftC CCfI5Ul,.nMC E~I"'UIl5
2 ll!oQ .... ",'tiE. !lwTE: . 4S
$AC"AIi'nf!O. GA- "1I~8
"lol, (j 1 &) s.~,-G02'
This anchor I. deslOllod to be l1Jsl!rtld' through. 3.14' hal1
drlled or farmc:l ilto on Ixl,tJlIG con~tl' aII~.
· C;ollOlell mllll bit 2!00 JlSI mlnlmurn
'""1I=-wlt"~!rtltltlJllnfViI(n... ana.iI-it .
10110 wlr. masn or fiber me5t! inSCalled.
· CaflerO!t ,It" must .I:ow 4121 'be of
veltlal l.nIICl" on I",:bor without 'ffincl.
Tnfa Illumes thlt tile DGl'tcrete wtfDh&
\50 1&8 ~er cu. ft.
· MIn!mum dlst,ra fram the Incl!Or altalt
10 one eltgf Of"'! 11., Is 4 in. . rrom ana
Idgu Inri 2 It. fram Ilnf other .dOIl.
e
C>
tIiJ
B
I
TIle UlJ2 b daal,ned Lo 't ilmilllrl :nto 0 concrcl~ slab al
Iftt! __ 1ftI cancm. 13 'O./ng POUJ,Q.
-. CC)~lI--mtI.t-IJt-"I-."2eeo'-P$I'
mlnlm~m $fa:) with 4. ""nlmum
thJclaJ.. al\d !16 x 10r 0 wIre mesh Qr
Ib!r mesh Ins'.ded.
- Coname SIItJ must Iflow 4r.n :b; C r I
lI.nal t.lIlleft an llncnor wffhcLd
tlflng. TllIrauuMtc tl'.lt the cancrtte '
WlGh, 150 IbI per ell, ft. )
· Mr.llr.um dlsfant. '10m the .r.d!or
sblt to OIl edge of U" lI:ab it ~ in. .
ham an. llfOe and 2 ft. from III~ or!lar
_e.
· 11 'n&tlIe1 In ~ -4- sllb It /IIlnifllurr
cIs""~s from KQn. III lddilfon.1r ~Ytr
or 8IB or 10i'O mall (5 rrr.onJn.~.
· Afttr r1Vltw~ tUCrIlIIfIftI IItlICf Ig at "'~ fill a
ill In x 3 In. bat. iI'" Ira. whIrt the _It MIld I:
IG fit IDGItd.
.. fate, ... PPDtMn :tie... 0* b6R end ... illIG
Jhe IIrIIlO IaOIe.
· PlICI Uli ~ZI1.r 1111I0 DlI'JPilftlion bd
, TIv,;d 111'1 on~ e.,lIItIon boh II'Ilf "bien _III
mtldmu'" .."",t;n II' ,lit,...... ..... .,.
iUIiMd.
· COnc,,!. RlUlIIllJ I t.ctm PSI ml~mum $I.lh "'ll 4"
IIIAiIrlIn W'w......d fAx 1ll'10 wfrt lIluh orllllc( I
..11\......11.
· CoaorIIt ., I1CllilIUaw .qs the Of IItrtlo:ll .."W_
0.. tndto. wiU1D1!1 11."C!. This ifDr:tl:CS 'hat Ilia
c..... '"'OkS 1 SO 1ft! . cu. n.
· ....UII! _ce tom the IIIdlor ,Jllf, to 1ft. Gdgo
Of lilt ,~ is . :tL 1I<Jm Olt .dt. AM I; ft. nrr ~.
oIor "'0"
· II ....1iI. II . ~ &lab 'l minimum ctlrt~.c" 'Ill'"
..,..n acd'ilmal !alltf of a.'1 OT f 0110 "Irl! mes" Or
QM'",,&II " rtOOrnlt1lr.did,
· flelllWQ nut ~ncl Wtdilllf iII1l1 ,.rato antllor hllld ova,
11l,olld boll.
· Plavt ..."'.r ,nd nIJt onto "'b aW if1d1odllid,
tWa:t1l IIIl
14002. PIER
BOLT-ON TOP
,'b-
#6005
117000
/17001
117002
" U....
~
e
e
~~
~
;
CONCRETE TIE-DOWN
~
ftlP'56
#4002
#6003 #6004
INSTALLATION INSTRUCTIONS
EXISTING CONCRETE - 116003
1. CONCRETE MUST BE A MINIMJM 3 1;2" THiCK A.ND IN GOOD CONDITION.
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 2.8 SQUARE f"EET.
.3. DRILL PROPER SIZE HOLE IN SLAB, A MIN!MlM OF 12" FROM ANY SIO(.
4. EXPANSION OOLT IS 5/8" x .3 1/2" WIIH MINIMUM 2 3//.... EMBF:Dt.fENT AND
6.180 POJND PULL OUT, 7,160 POUND. SHEAR.
, NEW CONCRETE - #6004
1. PLACE CONCRETE A.NCHOR INTe WET CONCRETE. AND ALLOW TO :>ROPERlY CURL
2. ALTERNATe CONNECTiON REQUIRES #5 RE!:lAR PROPERLY EIllBEDDEO IN CONGRETE.
CHASSIS CONNE.C~
L ATTACH STRAPS TO CHASSIS SEAM 1M MA'lNER S-iOWN.
2. If ANGLE OF SIl)l:: STRAP IS GREATER THAN 6::J', STRA? CONNECTION CAN BE
MADE fROM A.NCHOR TO OPPOSlfE CHASSIS B~M.
.3. INSERT STRAP THROUGH SP _:T 130!.. T. CUT OFf EXCESS STR^P ANO TIGHTEN
BOLT IJ/\ TIL STRAP IS SNUG.
- ~. .. .~ ~~
~ ' .
.
.
.
- ~ ,,~;
, ')
)Rlll 9/16" HOLE AT MID HEIGHT
OF BEAM ...I'lD INS1All
liZ' A307 BOLT , ~ - ." _ ~~.
~T"'PIC:'L) " _ _ . - - ,- - - - ~
_ .. ;,,- _ - - i' ~ '. ~ ') ~
1, _)'--- .l. ~:--~-'\~
~"... -~.. ...
~J: -:: ~ ~ ~ ~ ' ~ \< - - - -
~.- \\
/? SIDE YEW ~
(/"''RFC'' BEAM CHASSIS
SEE "r' BEAM CHASSIS NOTE g3
SHEET # 1 fOR TIE DOWN INfO.
SiD( Vlt'fl
END TIE DOWN
[l'1D VIEW
~:::===:,
~ i
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I J . \
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" '\
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\
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.
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/ SIDt VIEW
/ '~~" BEAM CHASSIS
"i,E . T' BEAN CHASSIS NOTE (i:5
SHEEI ~1 tOR HI' OOWN I"FO.
'-
ALTERNATE
CONNECTION
-'
"if'
,
,
:' I '\
,',' \ \.
I/ '\\
CONTRACTORS CERTIFICATION
I CERTIFY THAT { HAVE INSTALLED THE SAC IND.. INC. ANCHORING SYSTEM AS
PER THE INSTALLAT~ON INS'~'RUCTIO:"lS. I HAVE MADE NO MODIFICATIONS TO THE
.I\NCHORrNG SYSTEM OR TO THE BUILDlNr. STRUC'T'URE.
COMPANY NAME: CONTRACTORS LIC.n
Table 3-1 - General Description of Soils
Soli Type
Based on the unified classification
system
Allowable Pressure
(pounds per square foot)
No allowances made for overburden
pressure, embedment depth, water table
hei or settaemeraI robIemS
4 000 and u
2000
1,500
1,000 .
1. To be used only when none of the following is available: soils Investigation and analysis of the site;
compliance with the local building code; and evaluation by a registered professional engineer, architect, or
building official.
2. Hereafter, the words - enginee(' or -architecf shaH refer to a registered professional engineer or architect.
The City of Port Angeles
Building Division.
Upon reviewing your application and pIans submitted for a Manufactured Home,
the following are some of the items that will need to be taken in to consideration.
Property.
Property boundary pins are to be identified and marked at footing inspection to verify minimum set
back requirements.
Manufactured homes.
"Wains" installer tags must be on unit and appropriate box checked for each item completed.
Manufactured home foundation design shall be included with the application. Foundations are
required to be pit set with 12" maximum and 6" minimum reveal on foundation. Blocking and tie
down inspection is required
Wood framed skirting, framing shall be 2"x 6" treated wood with y," anchor bolts w/ 3"x 3"x 1/4"
washer at 6'-0" OC and within 12" of P.T. sill ends. Stud pacing shall be 16" OC. 15/32" min
thickness structural grade treated plywood 30 PCF equivalent-fluid weight soil pressure horizontal
(max unbalanced back fill at 18" in height). Face grain across studs.
Skirting, foundation crawl space and ventilation are required per WAC 296-150M-0610 (1) (d)
section 1 through 3.
1. Skirting must be made of approved material by the building division. Metal fasteners must
be of hot dip zinc-galv. / stainless steel or other corrosive resistant materials. Ferrous metal
members in contact with earth, except those made of galvanized or stainless steel, must be
coated with asphaltic emulsion. Skirting must not trap water between the skirting and siding
or trim. All skirting must be recessed behind the siding or trim.
2. The ventilation required is one (1) sf. Per 150 sf. of crawl space.
3. Access to under floor area to be a min. 18"x 24" and positioned so that all areas under
manufactured home are available for inspection. Access opening must be covered and that
cover must be made of metal, pressure treated wood or vinyl.
Foundation protection requires finish grade to be a minimum of 6" slope in 10'-0" away from the
foundation. Footing/downspout drains (if required) to be directed to a drywell or other approved
locations.
An inspection of the water, sewer, electrical, footing and down spout drains is required before
backfill is allowed. (NO EXCEPTIONS)
If outside of (4) minute response area a sprinkler system or an exterior bell tied into the smoke
detector, approved by the Fire department.
A final inspection is required to be approved before occupancy can occur.
The City of Port Angeles
Building Division.
Upon reviewing your application and plans submitted for a Manufactured Home,
the following are some of the items that will need to be taken in to consideration.
Property.
Property boundary pins are to be identified and marked at footing inspection to verify minimum set
back requirements.
Manufactured homes.
"Wains" installer tags must be on unit and appropriate box checked for each item completed.
Manufactured home foundation design shall be included with the application. Foundations are
required to be pit set with 12" maximum and 6" minimum reveal on foundation. Blocking and tie
down inspection is required
Wood framed skirting, framing shall be 2"x 6" treated wood with Yz" anchor bolts w/ 3"x 3"x 1/4"
washer at 6'-0" OC and within 12" of P.T. sill ends. Stud pacing shall be 16" OC. 15/32" min
thickness structural grade treated plywood 30 PCF equivalent-fluid weight soil pressure horizontal
(max unbalanced back fill at 18" in height). Face grain across studs.
Skirting, foundation crawl space and ventilation are required per WAC 296-150M-0610 (1) (d)
section 1 through 3.
1. Skirting must be made of approved material by the building division. Metal fasteners must
be of hot dip zinc-galv. / stainless steel or other corrosive resistant materials. Ferrous metal
members in contact with earth, except those made of galvanized or stainless steel, must be
coated with asphaltic emulsion. Skirting must not trap water between the skirting and siding
or trim. All skirting must be recessed behind the siding or trim.
2. The ventilation required is one (1) sf. Per 150 sf. of crawl space.
3. Access to under floor area to be a min. 18"x 24" and positioned so that all areas under
manufactured home are available for inspection. Access opening must be covered and that
cover must be made of metal, pressure treated wood or vinyl.
Foundation protection requires finish grade to be a minimum of 6" slope in 10'-0" away from the
foundation. Footing/downspout drains (if required) to be directed to a drywell or other approved
locations.
An inspection of the water, sewer, electrical, footing and down spout drains is required before
backfill is allowed. (NO EXCEPTIONS)
If outside of (4) minute response area a sprinkler system or an exterior bell tied into the smoke
detector, approved by the Fire department.
A final inspection is required to be approved before occupancy can occur.
Garages.
A continuous footing is required around the perimeter of the load bearing walls, although some
manufactured homes are designed to accommodate a garage. The garage must be designed as though
it is independent from the manufactured home.
Sill and bottom plate anchor requirements for seismic zone D2. As per the 2003 IRC.
Garages detached and attached to a manufactured homes, require standard wall bracing methods to
be met, If they cannot be met, then refer to "Alternate Braced wall panel" Section of the 2003 IRC. If
any of the aforementioned methods cannot be met, engineering design will be required for the
"SHEAR WALL, ALTERNATE BRACED WALL PANEL" design under 2'-8" in width.
This letter is not intended to cover all items required by the City of Port Angeles, but is to serve as a
guide to help you understand frequently asked questions, "ALL WORK IS SUBJECT TO FIELD
APPROVAL"
1/05
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- BUILDING DIIIISION
---.~
CITy OF POIlT ANGELES
* *
JOb LOcated at
Correction Notice
.....
/i-
Inspect/on Of YOUr Work
n~t In aCCordance With th revealed that the fOllOWing Is
this JUriSdiCtion: e COdes gOverning the work In
These corrections mUst b
covered until reinspection . e made and are nOt to be
have been made PI IS made. When corr,ect.
< . , ease Call IOns
'Or inspeCtion. _ ( . ~
Date
~.
-- ---'-------~
~,
/"
..
InSpector fOr BOilding O. . .
D IVISlon
o /VOr IIE"'O"E rltlS rAG
G/~~
'..
ELECTRICAL WORK PERMIT APPLICATION,
~;r' -# DS--3
. I
Job wired by
,
,
"$l Electrical Contractor 0 Owner
Installation description
o Commercial ~ Residential
Eleet~eal contcaeto' name ~4fumbe' Date Exp;m
\,,~\-....: ~ ,~.c _\-*'LBlt\\i=:
Purchaser's dmg address
~~\,_ ~> ,\'"L~\."(\\...'- ~\.
City I State ZIP
5.<..<:::". 'N.~ ~~~~~
Telephone number 1 FAX number
?-~\~~
o New
o Altered/Addition
I
~~ ~~,~ Y't\~\~'\\Z
...s ~\\'J I ( ~
Premises owner's name
\)::-.."", ~ "'c::....~ '-~
Address of inspection \
\~\i' ~d. i '\.- ~ ~ "'0-
City ~\ i
(5/8
L
;;>
t<JA€. Sl
V'~,~~, y~~,s \\
~\-.t-. \~'\\
,
~
Phone number to schedule in pection:
. ~' "=:l
Owner as defined hy RCW19.28.26/:(1) Owner will occupy the structure for two
years after this electrical pJrmit is finalized. (2) Owner is required to hire an electrical
contractor if above said pr~perty is for sale, rent or lease.
After reading the above st~tement, I hereby certify that I am the owner of the above
named property or a licens'ed electrical contractor. I am making the electrical instal-
lation or alteration in conipliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications. i
Signature of owner, electrical contractor or electrical administrator
,.
", 'I" .r Date: ~-'S..-b:s.
Electrical Load Additions and or subtractions (
D NO LOAD CHANGES I U I,
I:l Baseboard KW ..",
I:l Furnace KW I I:l Overhead Service
I:l Heat Pump Toni LAR I:l Temp Service
I:l Fan-Wall KW I I:l Underground Service
,
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
o Cash ~Check #
o Credit Card Visa
Mastercard
Discover
Card #
x
Expiration Date
of card
.
Voltage
Phase D 1 D 3
Service Size:
Feeder Size:
."'-
f
~
\::)
Service Information
: ROUGH-IN
!
I
Dalel App[l)vell By ./
, FINAL
'-.. Date! Approvell By./
/ THERMOSTAT
'-.. Date Approved By
/ DITaI
'- Date ApprovwBy/
SERVICE
Dale Approved By
FEEDER
Dale Approved By
Inspection
Datc
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
8
c.-'F
~~
"
,"
I
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
,
b~c.
ADDRESS L
It-r.- -.;- ~
APPROVED NOT APPROVED
y. . . . tJ.~././.~. . . DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
~. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
g6r<l~ /l~ ~k:.. - ~
I~ B'?Ok.//u LJ.n"C..<.~
:;-$S~1/V ~~ m;::~:#::"S
-f. ;0.",...;(. ,3 X :3 I >c ~ '1 OOAJC,u-Tt-
;O,AO & ..s'bzvlG4, 4u7~s~
/JHAStF e.rrw ~ /y)1f ~ ~N' ~.Pure..
hl_ 4/7 - e/7;;;~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381